NPI 1093195596
Meijer Stores Limited Partnership
Practice location
- Address
- 11111 W Burleigh St, Wauwatosa, WI 53222-3211
- Phone
- (414) 290-0910
- Fax
- (414) 256-4765
- Mailing address
- 2929 Walker Ave NW, Grand Rapids, MI 49544-6402
Authorised official
- Name
- Jason Beauch
- Title
- Director of Pharmacy Managed Care
- Phone
- (616) 791-3169
Registered specialties (2)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1093195596
- Entity type
- Organization
- NPI issued
- 1 Jun 2015
- Record last updated
- 1 Sep 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.